Rotator Cuff Repair

Definition

The rotator cuff is a group of 4 muscles in the shoulder and upper arm. The muscles help to move the arm at the shoulder and to stabilize the joint. The muscles are connected to the shoulder bone by tendons, which are strong, flexible cords. The muscles or tendons may become damaged from long term overuse or from injury.

Anesthesia

Description of Procedure

Open Surgery

A cut will be made in the skin over the shoulder. The torn muscle or tendon will be repaired and reattached and/or anchored with stitches. The incision will then be closed with stitches or staples.

Arthroscopic Surgery

A few small incisions will be made in the shoulder. A narrow tool called an arthroscope will be inserted through the incision. The scope has a tiny camera to allow the doctor to see inside. Other small instruments will be inserted through the other incisions. These tools will be used to repair the tendon or muscle.

After either procedure, the incisions will be bandaged. Your arm will be placed in a sling or brace to immobilize the joint.

How Long Will It Take?

About 1½ to 2 hours

How Much Will It Hurt?

Anesthesia prevents pain during the procedure. You may have some discomfort immediately after. Ask your doctor about medication to help with the pain.

Average Hospital Stay

You may be able to go home the same day. Some may need to stay in the hospital overnight.

Post-procedure Care

At the Care Center

Right after the procedure, you may be given medication, such as:

Pain medication

Antibiotics to prevent infection

Medication that prevents blood clots

At Home

When you return home, take these steps:

Do not use the arm until instructed. Wear the sling or brace as directed.

Follow instructions for physical therapy. Therapy is essential to regain shoulder strength and range of motion.

Be sure to follow your doctor's
instructions.

The rotator cuff will take several months to heal. It may take some time before you can raise your arm above your shoulder. It may be up to one year before you can hold your arm above your head and do work with reasonable strength. An aggressive and consistent physical therapy and exercise program is the key to a faster recovery.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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